Amanda Kreienheder I

Primary specialty

Rehabilitation Clinical Nurse SpecialistTaxonomy code 364SR0400X

License

PTA-394 Issued in ID

Practice address

3315 8TH St
Lewiston, ID 83501-4966

Phone

(208) 743-9543

NPI assigned

Dec 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1104009612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 STAR MEADOW RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378371",
            "telephone_number": "406-253-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 8TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014966",
            "telephone_number": "208-743-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIENHEDER",
        "first_name": "AMANDA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "ID",
            "license": "PTA-394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher John Konen, HI/BI
• Diana L Kottkey, NP
• Kevin Richard Kracke, PH.D.
• Matthew George Krahn, CRNA
• Elzbieta E Kraszewska-Ostromecka, MD
• Theodore K Krisher, MD
• Kristy Kuehfuss, PHD, PLLC
• Stephen K Kronholm, MD
• Kimberly Ann Krueger
• Kristy Anne Kuehfuss, PH.D.

• Clinical Nurse Specialist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Clinical Nurse Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.